MYSTIC MYRTLES STUFF LLC NPI 1952664898

NPI Information

MYSTIC MYRTLES STUFF LLC is a massage therapist in Kingman, AZ. The provider is an individual trained in the manipulation of tissues (as by rubbing, stroking, kneading, or tapping) with the hand or an instrument for remedial or hygienic purposes. MYSTIC MYRTLES STUFF LLC NPI is 1952664898. The provider is registered as an organization entity type and is a single specialty group.
The provider Is Doing Business As Mystic Myrtles Stuff Llc Massage.

The provider's business location address is:

1711 N STOCKTON HILL RD
SUITE A
KINGMAN, AZ
ZIP 86401-673
Phone: (928) 753-3148
Fax: (928) 753-3148

The provider's authorized official is Daniel John Mcintyre .
The authorized official title is Cfo and has the following contact phone number (928) 753-3148.

The enumeration date for this NPI number is 6/15/2012 and was last updated on 6/15/2012.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

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